Contraception is any method of birth control used to prevent pregnancy. A woman has many birth control options; which are appropriate depend on her age, overall health and lifestyle. Contraception can be permanent or temporary. Some types of contraception are more effective than others, and it is up to each woman to decide which type is right for her.

During a woman’s monthly cycle, the ovaries produce an egg that moves through the fallopian tubes into the uterus. When an active sperm reaches and fertilizes the egg, it attaches to the wall of the uterus and begins to develop. There are various methods of contraception that prevent pregnancy, some by changing the process of a woman’s cycle, and some by ensuring that the sperm and egg do not meet.

Methods Of Contraception

There are two basic types of contraception available. Some are available by prescription only, and others can be purchased over the counter, at a pharmacy.

Barrier Methods

A barrier method of contraception places a barrier or block between the sperm and the egg, thus preventing pregnancy from occurring. Common barrier methods include:

  • Cervical cap
  • Diaphragm
  • Sponge
  • Condom

Condoms and sponges may be purchased over the counter, but diaphragms and cervical caps must be prescribed and fitted by a physician. Spermicide, a substance that kills sperm, can be used in conjunction with all barrier methods except the sponge, which already contains a spermicide. These are the least effective forms of preventing pregnancy.

Hormonal Methods

Hormonal methods of birth control use hormones to prevent pregnancy. Most methods use estrogen or progestin, or a combination of the two. Both hormones prevent a woman’s body from ovulating or releasing an egg. In addition, progestin causes the mucus within the cervix to thicken, making it difficult for the sperm to reach the egg. Common hormonal methods of birth control include:

  • Birth control pills
  • Injections
  • Vaginal ring
  • Patch
  • Implant (Nexplanon)
  • IUD (Mirena/Skyla/Kyleena)

Hormonal methods of birth control are prescribed by a physician after a physical examination. The doctor determines which type of hormonal method of contraception is appropriate for each individual. Birth control pills must be taken on a daily basis, or on a schedule determined by the physician. In order for birth control pills to be effective, they must be taken daily or as directed by a doctor. The vaginal ring is inserted at home by the patient. Hormonal IUDs and Nexplanons are inserted by a licensed health care provider in the office.

To be effective, both barrier and hormonal methods of contraception must be used consistently and correctly.

Risks Of Contraception

In general, hormonal methods of birth control have more risks associated with them than barrier methods.

Barrier Methods

Although most barrier methods of birth control are safe, they are associated with the following risks:

  • Vaginal or cervical irritation
  • Allergic reaction to spermicides
  • Toxic shock syndrome
  • Urinary tract infection
  • Allergic reaction to latex

It is important to note that condoms are the only method of contraception that provide protection against sexually transmitted diseases and HIV.

Hormonal Methods

Although most methods of hormonal birth control are safe, they are associated with the following risks:

  • Irregular bleeding
  • Heart attack
  • Skin or vaginal irritation
  • Blood clots
  • Headache
  • Weight gain
  • Stroke

Women who are older than 35 or who smoke have a much higher risk of heart attack or stroke when using hormonal birth control methods. Hormonal methods of birth control do not provide any protection against the HIV virus or sexually transmitted diseases.

It is important to consider all risks inherent in a particular method of birth control before choosing it.

Considerations Of Contraception

Choosing a method of birth control is a personal decision. It is important for a woman to consider the following before deciding which method of birth control is right for her:

  • Age
  • Personal health issues
  • Risks
  • Hormone levels
  • Frequency
  • Effectiveness
  • Permanence

No contraception method is 100 percent effective. Women should consult with their doctors about the different types of contraception available, and to get answers to any questions they may have about contraception and family planning.

Non Hormonal Long-Acting Reversible Contraception: Paragard IUD

Copper and plastic, this IUD is toxic to sperm. This is ideal for women who do not wish to have extra hormones added to their bodies and lasts for 10 years. The main potential side effects are heavier and crampier periods.

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